Individual
DR. CURTIS W DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 NORTHSTAR DR, HOLTS SUMMIT, MO 65043-1123
(573) 896-8301
(573) 896-8589
Mailing address
PO BOX 1027, JEFFERSON CITY, MO 65102-1027
(573) 681-3767
(573) 761-6947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9875
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10893815
CAQH
MO
01
—
991150
ANTHEM BCBS
MO
Enumeration date
07/24/2006
Last updated
12/15/2020
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